Hearing impaired persons tend to have an elevated risk of drug use issues because of the impairment, and treatment services have to be available to them which serves their circumstances. Those who are hearing impaired can seem to be alone, lack motivation, and goalless because of their impairment. Some hearing impaired individuals then decide to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the emotional and psychological challenges that accompany having this handicap in daily life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired is often a challenge, because these individuals may try to hide their issue due to social stigmas that come with drug abuse. However, drug and alcohol rehabilitation counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL rehab services are definitely a must, as are treatment services which address the particular challenges that hearing impaired individuals encounter. Group therapy provides a forum for important peer support to ensure that treatment clients can know they are not alone, and that there is hope to resolve their challenge with alcohol and drugs. Individual counseling services could be more tailor-made for each individual so that their own personal challenges can be addressed in rehab.